Question 1

A patient has a confirmed diagnosis of unilateral vestibular hypofunction.The chief complaint of the patient is dizziness and blurred vision with head movements.What type of exercise would be MOST appropriate to target the patient's chief complaint?

Accepted Answer

A)  Habituation
B)  Postural stability
C)  Canalith repositioning
D)  Vestibular adaptationE) A) and B)
F) A) and C) D

Question 2

The Dix-Hallpike test with the left ear down elicits a transient up-beating nystagmus with a left torsion.What is the location and mechanism of benign paroxysmal positional vertigo?

Accepted Answer

A)  Left posterior semicircular canal cupulolithiasis
B)  Left superior semicircular canal canalithiasis
C)  Left superior semicircular canal cupulolithiasis
D)  Left posterior semicircular canal canalithiasisE) C) and D)
F) B) and D) D

Question 3

The Dix-Hallpike test with the right ear down elicits a sustained up-beating nystagmus with a right torsion.Which is the MOST appropriate treatment for this patient?

Accepted Answer

A)  Liberatory (Semont) maneuver for the right posterior semicircular canal
B)  Canalith repositioning maneuver for the right posterior semicircular canal
C)  Liberatory (Semont) maneuver for the right superior semicircular canal
D)  Canalith repositioning maneuver for the right superior semicircular canalE) A) and B)
F) A) and C)

Question 4

A right-beating nystagmus is elicited with the head-shaking induced nystagmus test.What does this response indicate?

Accepted Answer

A)  Bilateral vestibular hypofunction
B)  Right unilateral vestibular hypofunction
C)  Left unilateral vestibular hypofunction
D)  Central vestibular lesionE) C) and D)
F) B) and D)

Question 5

What is the slow component of an acute spontaneous horizontal nystagmus caused by?

Accepted Answer

A)  Asymmetry of firing rates between peripheral vestibular systems
B)  Response from the parapontine reticular formation
C)  Response of the velocity storage system
D)  Inhibitory cutoff of the healthy peripheral vestibular systemE) A) and C)
F) B) and C) A

Question 6

A patient reports a sudden onset of vertigo 3 weeks ago that lasted 4 to 5 days.A corrective saccade is noted with the right head impulse test and a left beating nystagmus is elicited with the head-shaking induced nystagmus test.After initiating vestibular rehabilitation,what is the MOST likely recovery time?

Accepted Answer

A)  Two to three sessions
B)  Five to six sessions
C)  Six to eight weeks
D)  10 to 12 weeksE) All of the above
F) A) and B)

Exam 21: Vestibular Disorders

A patient has a confirmed diagnosis of unilateral vestibular hypofunction.The chief complaint of the patient is dizziness and blurred vision with head movements.What type of exercise would be MOST appropriate to target the patient's chief complaint?

Correct Answer
verified
D

The Dix-Hallpike test with the left ear down elicits a transient up-beating nystagmus with a left torsion.What is the location and mechanism of benign paroxysmal positional vertigo?

Correct Answer
verified
D

The Dix-Hallpike test with the right ear down elicits a sustained up-beating nystagmus with a right torsion.Which is the MOST appropriate treatment for this patient?

Correct Answer
verified

A right-beating nystagmus is elicited with the head-shaking induced nystagmus test.What does this response indicate?

Correct Answer
verified

What is the slow component of an acute spontaneous horizontal nystagmus caused by?

Correct Answer
verified
A

Correct Answer
verified

Exam 21: Vestibular Disorders

A patient has a confirmed diagnosis of unilateral vestibular hypofunction.The chief complaint of the patient is dizziness and blurred vision with head movements.What type of exercise would be MOST appropriate to target the patient's chief complaint?

Correct AnswerverifiedD

The Dix-Hallpike test with the left ear down elicits a transient up-beating nystagmus with a left torsion.What is the location and mechanism of benign paroxysmal positional vertigo?

Correct AnswerverifiedD

The Dix-Hallpike test with the right ear down elicits a sustained up-beating nystagmus with a right torsion.Which is the MOST appropriate treatment for this patient?

Correct AnswerverifiedShow Answer

A right-beating nystagmus is elicited with the head-shaking induced nystagmus test.What does this response indicate?

Correct AnswerverifiedShow Answer

What is the slow component of an acute spontaneous horizontal nystagmus caused by?

Correct AnswerverifiedA

Correct AnswerverifiedShow Answer

Correct Answer
verified
D

Correct Answer
verified
D

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A

Correct Answer
verified